Highland Health Center, PLLC

Primary specialty

Family Health Clinical Nurse SpecialistTaxonomy code 364SF0001X

License

3004162 Issued in KY

Legal business name

HIGHLAND HEALTH CENTER, PLLC

Practice address

720 Barret Ave
Louisville, KY 40204-1750

Phone

(502) 582-5555

Fax

(502) 582-5556

NPI assigned

Dec 21, 2009

Last updated

Mar 10, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Blaine Lisner, M.D.

Title

Attending Physician

Phone

(502) 582-5555

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Highland Neurology & Injury Associates, PLLC Former legal business name

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1261353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1568791523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041750",
            "telephone_number": "502-582-5555",
            "fax_number": "502-582-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 BARRET AVE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402041750",
            "telephone_number": "502-582-5555",
            "fax_number": "502-582-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGHLAND HEALTH CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-21",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "LISNER",
        "authorized_official_first_name": "BLAINE",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "502-582-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "KY",
            "license": "3004162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "78011525",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64253685",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Highland Neurology & Injury Associates, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Kathleen Marie High, LCSW
• Higher Ground ABA
• Higher Ground ABA
• Higher Ground ABA
• Hilary Highfield, MD
• Highland Neurology & Injury Associates, PSC
• Shannon Highland, RBT
• Highlands Community Ministries Senior Services Adult Day Health Cent
• Highlands Nursing and Rehabilitation Center, LLC
• Highlands Nursing and Rehabilitation LLC

• Family Health Clinical Nurse Specialist in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Health Clinical Nurse Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.